Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.18 / $1,544.00 / $4,761.00	Facility		$171.18	$1,544.00	$4,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $155.28 / $275.95	Professional		$101.45	$155.28	$275.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,524.00 / $2,594.00 / $8,459.92	Facility		$1,524.00	$2,594.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $171.15 / $252.86	Professional		$164.93	$171.15	$252.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $193.14	Facility		$193.14	$193.14	$193.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $171.89 / $300.17	Professional		$113.48	$171.89	$300.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.18 / $257.67 / $335.41	Professional		$194.18	$257.67	$335.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,005.20 / $1,511.77 / $2,647.95	Facility		$1,005.20	$1,511.77	$2,647.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $234.94 / $1,741.00 / $5,627.00	Facility		$234.94	$1,741.00	$5,627.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $175.39 / $421.13	Professional		$107.26	$175.39	$421.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $157.69 / $368.90	Professional		$157.69	$157.69	$368.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $193.14 / $193.14	Facility		$193.14	$193.14	$193.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $178.26 / $312.58	Professional		$114.49	$178.26	$312.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.28 / $127.31 / $164.03	Facility		$110.28	$127.31	$164.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.28 / $155.40 / $174.20	Professional		$110.28	$155.40	$174.20
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $219.53 / $319.74	Professional		$166.23	$219.53	$319.74